<!--<style>-->
    <!--.table-adminlog tr td {-->
        <!--word-break: break-all;-->
    <!--}-->
<!--</style>-->
<table class="table table-striped table-adminlog">
    <thead>
    <tr>
        <th width="100" style="color:red">{:__('预约信息')}</th>
        <!--<th>{:__('Content')}</th>-->
    </tr>
    </thead>
    <tbody>

    <tr>
        <td>
            <div class="form-group">
                <label class="control-label col-xs-12 col-sm-2">{:__('预约单号')}:</label>
                <div class="col-xs-12 col-sm-8">
                    <input id="c-code" class="form-control" name="row[code]" readonly="readonly" type="text" value="{$row.code|htmlentities}">
                </div>
            </div>
        </td>
    </tr>

    <tr>
        <td>
            <div class="form-group">
                <label class="control-label col-xs-12 col-sm-2">{:__('预约状态')}:</label>
                <div class="col-xs-12 col-sm-8">
                    <input id="c-status" class="form-control" name="row[status]" readonly="readonly" type="text" value="{$row.status|htmlentities}">
                </div>
            </div>
        </td>
    </tr>
    </tbody>
</table>

<table class="table table-striped table-adminlog">
    <thead>
    <tr>
        <th width="100" style="color:red">{:__('就诊信息')}</th>
    </tr>
    </thead>
    <tbody>


    <tr>
        <td>
            <div class="form-group">
                <label class="control-label col-xs-12 col-sm-2">{:__('就诊人')}:</label>
                <div class="col-xs-12 col-sm-8">
                    <input id="c-info_name" class="form-control" name="row[info_name]" readonly="readonly" type="text" value="{$info.name|htmlentities}">
                </div>
            </div>
        </td>
    </tr>

    <tr>
        <td>
            <div class="form-group">
                <label class="control-label col-xs-12 col-sm-2">{:__('就诊时间')}:</label>
                <div class="col-xs-12 col-sm-8">
                    <input id="c-visiting_time" class="form-control" name="row[visiting_time]" readonly="readonly" type="text" value="{$row.visiting_time|htmlentities}">
                </div>
            </div>
        </td>
    </tr>

    <tr>
        <td>
            <div class="form-group">
                <label class="control-label col-xs-12 col-sm-2">{:__('专家')}:</label>
                <div class="col-xs-12 col-sm-8">
                    <input id="c-medic_name" class="form-control" name="row[medic_name]" readonly="readonly" type="text" value="{$medic.name|htmlentities}">
                </div>
            </div>
        </td>
    </tr>

    <tr>
        <td>
            <div class="form-group">
                <label class="control-label col-xs-12 col-sm-2">{:__('咨询项目')}:</label>
                <div class="col-xs-12 col-sm-8">
                    <textarea data-rule="required" disabled rows="10"  cols="67">{$row.project|htmlentities}</textarea>
                    <!--<input id="c-project" class="form-control" name="row[project]" readonly="readonly" type="text" value="{$row.project|htmlentities}">-->
                </div>
            </div>
        </td>
    </tr>

    </tbody>
</table>

<table class="table table-striped table-adminlog">
    <thead>
    <tr>
        <th width="100" style="color:red">{:__('费用信息')}</th>
        <!--<th>{:__('Content')}</th>-->
    </tr>
    </thead>
    <tbody>

    <tr>
        <td>
            <div class="form-group">
                <label class="control-label col-xs-12 col-sm-2">{:__('挂号费用(￥)')}:</label>
                <div class="col-xs-12 col-sm-8">
                    <input id="c-price" class="form-control" readonly="readonly" name="row[price]" type="text" value="{$row.price|htmlentities}">
                </div>
            </div>
        </td>
    </tr>

    <tr>
        <td>
            <div class="form-group">
                <label class="control-label col-xs-12 col-sm-2">{:__('支付类型')}:</label>
                <div class="col-xs-12 col-sm-8">
                    <input id="c-id_card" class="form-control" name="row[id_card]" readonly="readonly" type="text" value="微信支付">
                </div>
            </div>
        </td>
    </tr>

    <tr>
        <td>
            <div class="form-group">
                <label class="control-label col-xs-12 col-sm-2">{:__('支付时间')}:</label>
                <div class="col-xs-12 col-sm-8">
                    <input id="c-create_time" class="form-control" name="row[create_time]" readonly="readonly" type="text" value="{$row.create_time|htmlentities}">
                </div>
            </div>
        </td>
    </tr>
    </tbody>
</table>

<div class="hide layer-footer">
    <label class="control-label col-xs-12 col-sm-2"></label>
    <div class="col-xs-12 col-sm-8">
        <button type="reset" class="btn btn-primary btn-embossed btn-close" onclick="Layer.closeAll();">{:__('Close')}</button>
    </div>
</div>

<script>

</script>